MEDICARE: KELLEY HATCHETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	12095	NC

General Provider Information

NPI Number	:	1710957709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLEY HATCHETT

Provider Business Mailing Address
First Line	:	PSC 557 BOX 1640
Second Line	:	BLDG 26 APT 703 CAMP FOSTER
City	:	FPO
State	:	AP
Zip	:	96379
Country	:	US
Telephone Number	:	611-746-2228
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 557 BOX 1640
Second Line	:	US NAVAL HOSPITAL-OKINAWA
City	:	FPO
State	:	AP
Zip	:	96379
Country	:	US
Telephone Number	:	611-746-2228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/21/2022

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Directions to “ KELLEY HATCHETT ” Practice Location

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